Individual provider Active NPI

Randi L Cohen, APRN, BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Florham Park, NJ
National Provider Identifier
1063488146
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
25MA07906000 Issued in NJ
Practice address
256 Columbia Tpke
Suite 102
Florham Park, NJ 07932-1209
Phone
(973) 660-0555
Fax
(973) 660-0556
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 25MA07906000 NJ Primary

Addresses

Primary practice location

256 Columbia Tpke
Suite 102
Florham Park, NJ 07932-1209

Mailing address

256 Columbia Tpke
Suite 102
Florham Park, NJ 07932-1209
Phone (973) 660-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25MA07906000NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Patricia Barron Apn LLC Psychiatric/Mental Health Past Accepting new patients
Linda Sotnick, MSW, LCSW, LLC PastSince Jan 2, 2016 Accepting new patients
Practice Associates,Inc Past Accepting new patients
Jewish Family Service of Metrowest Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1063488146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "SUITE 102",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-660-0555",
            "fax_number": "973-660-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "SUITE 102",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-660-0555",
            "fax_number": "973-660-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RANDI",
        "middle_name": "L",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "25MA07906000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.